Organization
COEUR D'ALENE PEDIATRICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARI WARREN (OFFICE ADMINISTRATOR)
(208) 667-0585
Entity
Organization
Contact information
Practice address
700 W IRONWOOD DR, SUITE 155, COEUR D ALENE, ID 83814-2656
(208) 667-0585
(208) 667-0876
Mailing address
700 W IRONWOOD DR, SUITE 155, COEUR D ALENE, ID 83814-2656
(208) 667-0585
(208) 625-2075
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006210
REGENCE BLUE SHIELD
ID
05
—
002584600
—
ID
05
—
002585300
—
ID
05
—
7092836
—
WA
01
—
81869
BLUE CROSS
ID
01
—
8A976
BLUE CROSS OF IDAHO
ID
Enumeration date
12/22/2006
Last updated
05/29/2025
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